2017 Peru Maternal-Fetal Health

Conference Description

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Reach Out And Learn presents the Maternal-Fetal Health/Service Leadership Training 2017, "Train the Trainers". This event will be held in Peru, March 23rd - April 1st 2017. The objective of this Maternal-Fetal Health/Service Leadership Training is to provide a setting where foreign professionals receive in-depth training on techniques and treatments that will help them save the lives of newborns and help those in need. This training is unique in that it is a "Train the Trainer" course where maternal-fetal professionals from the U.S. train Peruvian doctors, nurses, and midwives who focus on issues that exist with expectant women and newborns. These "trained" professionals will be tasked with training hundreds of their colleagues in advanced techniques and treatments to improve the way they help those in need! As an added benefit, Maternal-Fetal Professionals will receive Service Leadership training that will help them make greater strides toward collaborating together to tackle leadership issues and problems that have inhibited their ability to work together to help those in need.

The Maternal-Fetal Health/Service Leadership Training 2017 objective is to provide an opportunity for primary care, OBG/YN, and family practice physicians, and those interested in women and infant health and issues and problems associated with women and infant health, to receive and disseminate best practices and the latest information on topics that improve the quality of health among women and infants. Our effort is to bring together professionals who specialize in areas directly related to women and infant health and to place these experts in an educational setting that fosters learning, stimulates purposeful discussions, and encourages peer networking.

Maternal Fetal Health

Bring Friends and Family

This event is designed so that trainers may bring family and friends who may visit high Andean villages to assess needs and to learn about and experience the Peruvian people and culture. Optional tours of the Sacred Valley, including Machu Pichhu are available. We plan for Conference registrants to join their family members and friends on one of the village days to participate in interactive activities with children in remote villages. Conference Directors attending this year have extensive experience in villages doing village activities and touring Cuzco/Machu Picchu. Our Tour Service is based in Cusco and they are the best! (We have had years of experience with them) and this gets us in and out of places that the big tour groups cannot go. For example; your Machu Picchu experience may be 8 hours at the site....in contrast, the big tour groups only give you 4 hours. Our interactive activities with school children brings you to the high Andes Mountains outside Cuzco into very small villages. Tourists normally don't get this experience. Many past participants have stated that Machu Picchu was awesome but the village experience was the highlight of the week.

Humanitarian Training

Some of our current and past trainers are, Sean Esplin, MD, Mark Dowdle, MD, Ty Erickson, MD, Daniel Woodhead, RT, Lynette Mittlesteadt, RN. Dr. Dowdle, Dr. Erickson, and Chad Fugate will train and initiate the training of hundreds of Peruvian doctors, nurses, and midwives on intense and detailed newborn resuscitation and women health issues related to child birth and pregnancy.

In addition, Patty Wheatley, working with the Pocatello, Idaho Rotary, have enlisted the help of others to assemble items and newborn kits that will be given to those we train so they can distribute the newborn kits to new mothers. Our intent is to train, support, and place materials in the hands of those who need them most, to help those in need!

Humanitarian Efforts

Obstetras are similar to our Nurse Midwives. We are told they deliver 90% of all babies in Peru and other countries in South America. They are among the key professionals in Peru who need to know what to do to help newborns who need help breathing. These Obstetras do not get adequate training in high risk deliveries and the college is very grateful for our curriculum and training.

Humanitarian Training

We "learn together" as we learn the methods and procedures (treatments) used by foreign professionals to help those in need, and they learn from us!

Proposed Agenda

Thursday, March 23, 2017

Flights from U.S. to Lima, Peru. Flights usually arrive in Lima just after midnight. We will have a bus at the airport to rest in for a couple hours before our 5 AM flight to Cusco.

Friday, March 24, 2017

Early morning flights from Lima to Cusco. Our main goal in Cusco, today, will be to adjust to the altitude (lay low and take it easy) since the altitude is over 11,000 feet. Lunch and dinner today are "on own". Our hotel is located near restaurants and grocery stores and a few blocks from the main city square and interesting sites.

Saturday, March 25, 2017

Travel to Abancay for humanitarian activities and medical training in clinics and villages. The altitude in Abancay is lower, around 8,000 feet. Abancay is the capital of both the Apurimac Region and Abancay Province. The population is around 58,000 people. This is the first time our group has been here. It is a beautiful place that has not had much medical teaching (like we provide), and they have begged for us to come and provide training. We will be teaching neonatal resuscitation, postpartum hemorrhage, difficult deliveries, and surgical repair of bad birth lacerations. Abancay straddles the Marion river and is famous for its very mild weather. This is a long and difficult four hour (one way) trip, but we anticipate that the benefits of our training, to help those in need, will be great. We will leave early in the morning (around 5AM) and plan to rest on the way. We expect that our training time will take place from 9AM to 1PM, whereupon we will return to Cusco.

Our humanitarians will plan to have activities/projects in the areas that surround Abancay.

Sunday, March 26, 2017

We invite everyone to sleep in, though an early morning "run" toward Saxsayhuaman may be invigorating for a few. An LDS Church meeting or Catholic Mass is available (Church at 10AM). After lunch (on own) we plan to shuttle to the nearby ruins and temple of Saxsayhuaman. After two or three hours of exploring this amazing site, we will walk a relatively short distance to the Plaza De Armas for dinner (on own), and sitting on the square to take in the local culture and surrounding city. A "fireside" presented by Chad Fugate, will be available in the evening. The topic will be the ruins of Tiahuanaku and the Statue of Viracocha.

Monday, March 27 2017

"Divide and conquer". There will be 2 groups and travels going different directions. One "medical" team will train midwives, nurses, and doctors in the hospitals and/or the Obstetrics College in Cusco. They will be teaching neonatal resuscitation, postpartum hemorrhage, difficult deliveries, and surgical repair of bad birth lacerations. A fairly difficult day, please take care of yourself.

The humanitarian team will travel to a remote village to interact with villagers, do needs assessments, and other activities with the school children.

Tuesday, March 28, 2017

Today we will receive cultural and historical "training" as we travel through the Sacred Valley along with stops in Pisac and Ollantaytambo. In the early evening we will travel by train to Aguas Calientes. and spend the night in a hotel there.

Wednesday, March 29, 2017

Today we plan to take in the cultural and historical significance of the ancient ruins of Machu Picchu. As we come to Peru to help those in need, by providing medical training and humanitarian service, our work is enhanced as we gain a greater understanding of the history and culture of the descendants of the Inca civilization. While in the Sacred Valley, Aguas Calientes, and Machu Picchu, you may notice your physical "health" improve, as the altitude of Machu Picchu is much lower (~8,000 feet). This evening, we will return to Cusco.

Thursday, March 30, 2017

Anyone with significant health/illness challenges may remain in Cusco and "catch" up with the rest of our group on Saturday in Lima. For the others, we will pack up and buckle up for a road trip to the Peruvian Altiplano (highlands) of Puno and Juliaca! (around 14,000 feet). Some of our group were here last year, and we have a fabulous opportunity again, to provide medical training and establish humanitarian outreach projects/service in this region of Peru.

Friday, March 31, 2017

This will be the busiest and biggest day for teaching. We will have training workshops with midwives, nurses, and doctors in the hospitals in Juliaca. The need for training is tremendous here and they are looking forward to our arrival.

Our team of humanitarians plans to work in a rural village/school doing activities and needs assessments.

Saturday, April 1, 2017

This will be our day in Puno, providing Maternal-Fetal training in the hospital and more humanitarian efforts on the Uros Islands (be sure to apply ample sunscreen!) For those teaching in the hospital, we will go to the islands in the afternoon. We need to be extra diligent to take care of our lungs and health, because working at an altitude of 14,000 feet will be taxing on our bodies. There will also be ruins to visit and cultural sites to take in as time and interest permits. We plan to have our own bus and driver which will give us more safety and control.

Our team of humanitarians will work on the floating Uros islands of Lake Titicaca. Our bold plan, to visit Machu Picchu and the Uros Islands in a time frame of just over week comes with our hopes of great benefits as we learn the most important needs of the people of the Altiplano.

Sunday, April 2, 2017

We travel (flight) from Juliaca to Lima today. In Lima, you may have time to shop, tour, rest, repack, or listen to the LDS conference. We plan to leave Lima in order to arrive at the airport around 8-9 PM for our flight (just after midnight) back home.

Conference Faculty

Dr Dowdle

Mark A. Dowdle, M.D, Course Director

Dr. Dowdle graduated from the University of Utah School of Medicine and did his residency at William Beaumont Hospital - Royal Oak. His primary specialty is Obstetrics & Gynecology, which he has been doing for 26 years. Dr. Dowdle speaks Spanish, and on the Intermountain Healthcare Website, his mission statement is "My goal is to provide caring and quality medical services. I strive to share the goodness of this life and give my patients hope in an atmosphere of kindness and respect. The prevention of disease, minimizing pain, and suffering, protection of the unborn, support for individuals and families are my priorities."



Sean Esplin, M.D., Course Co-Director

Dr. Esplin has worked at the University of Utah Maternal-Fetal Medicine Division since 2000, after completion of his Maternal-Fetal Medicine Fellowship at the University of Utah. He is board certified in both Obstetrics and Gynecology and the subspecialty of Maternal-Fetal Medicine. Dr. Esplin's main areas of interest are the genetic control of term and preterm labor and the role of inflammation in preterm birth. Dr. Esplin is currently involved in several ongoing research projects sponsored by the National Institutes of Health aimed at identifying markers of preterm birth and obstetric complications.



Ty B. Erickson, M.D., Course Co-Director
Ob/Gyn – Urogynecology

Dr. Erickson is dual board certified in Obstetrics/Gynecology and Female Pelvic Medicine and Reconstructive Surgery. He maintains practices in Idaho and Nevada. He has trained surgeons in 15 countries on advanced pelvic floor surgery. As a board member of the Janice foundation he provides humanitarian service in Africa and South America. He has associated with Reach Out And Learn in Peru since 2013.



Kevin Lythgoe, MD, PC

Dr. Lythgoe is a faculty physician within the Department of OBGYN at St. Joseph's Hospital and Medical Center with a community practice at Midtown Obstetrics and Gynecology. He is board certified by the Arizona Board of Medical Examiners and the American College of bstetrics and Gynecology.

Dr. Lythgoe earned his bachelor degree in biology and his doctorate of medicine from the University of Utah in Salt Lake City, Utah. He completed the Phoenix Integrated Residency in obstetrics and gynecology at Maricopa Medical Center, St. Joseph's Hospital and Medical Center in Phoenix, Arizona.

Dr. Lythgoe has served in private practice anbd in the acute care setting. He speaks both English and Spanish.



Jeff L. McClellan, PhD, Course Co-Director

Jeffrey McClellan is an Associate Professor of Management at Frostburg State University. He earned a Ph.D. in Leadership Studies from Gonzaga University in 2008. Jeff has conducted 70+ academic and professional conference presentations, given, facilitated or performed 100+ professional presentations, speeches, training sessions, and consultations for numerous businesses, non-profit organizations, and universities, and published 50+ peer reviewed articles, book reviews, & book chapters on leadership, administration, and advising. Multiple presentations and some upcoming publications have focused on topics related to leadership in Latin America. Most of Jeff's work focuses on servant leadership, leadership development, and leadership in Latin America. He has given presentations in Mexico, Peru, Puerto Rico, and Ecuador and led education trips in Brazil, Colombia, Ecuador, and Peru. Jeffrey lives in Cumberland, MD with his wife and six children.



Chad Fugate, C.R.N.A., Event Leader

Chad is a co-founder of Reach Out And Learn and the International Anaesthesiology Medical Conference Course Director. He has travelled and worked in a volunteer position, running humanitarian expeditions for 20+ years and 50 expeditions to Peru and Bolivia. He is a fluent Spanish speaker and often translates presentations from English to Spanish so Peruvian Professionals can participate in the conferences. His qualifications include graduating with a BS degree in nursing from BA in liberal arts from Westminster College in Salt Lake City, Utah. Chad has a Nurse Anaesthesia residency from Wisconsin and owns a private anaesthesia business in Idaho. He is currently a graduate student at Gonzaga University in Organizational Leadership. Chad has been on the Board of Directors for three humanitarian organizations and is currently a member of the board with Ascend Alliance. He is also a faculty member at Idaho State University. Chad owns a software company that produces productivity software for the iPhone and iPad.



Patty Wheatley, Event Leader

Patty Wheatley attended Rick's College, in Rexburg, Idaho. She is a past president of Soroptimist International of Pocatello. Patty and her husband Richard have owned the Manning-Wheatley Funeral Chapel, in Pocatello, Idaho since 1982. They are the parents of four children and 14 grandchildren. They are very active in the community and humanitarian projects. Patty has been serving with Reach Out and Learn and in Peru for the past 5 years. Patty has enlisted the help of others including the Gate City Rotary of Pocatello to assemble backpacks with emergency delivery kits, hemorrhaging kits, and newborn kits that will be given to those that are trained by the doctors.



Becky Denna, RN, NICU

Becky graduated with her nursing degree from BYU Provo over 30 years ago. She has been a NICU -Neonatal Intensive Care Unit- Nurse for Sutter Medical Center in Sacramento, CA for almost all of her nursing career. Within the NICU, she is a Advanced Life Support Nurse where she specializes in Advanced Infant Resuscitation - NRP Plus you could call it. She is a regional Transport Nurse for Sutter and the Coordinator for the Neonatal/Pediatric ICU ECMO and PICC programs. She loves babies with her favorites being her 4 children, their spouses and 4 awesome grandchildren. She is very excited to participate in ROL Health program for the first time and especially excited to share this trip with the love of her life and wonderful husband Wade.



Lisa Valenzuela-RN BSN, Labor and Delivery

Lisa Valenzuela graduated with a BSN degree from Idaho State University 20 years ago. She worked as a medical surgical nurse for 1 year and then transferred to Labor and Delivery. She has worked in Postpartum, Labor and Delivery and nursery for Mountain View Hospital in Idaho Falls Idaho for the past 15 years. She is the Labor and Delivery nurse educator and does training for the nursing staff for obstetric emergencies. She is a mother of 3 children and grandmother to 6 grandchildren. The opportunity to go to Peru is an exciting way to use her skills as an OB nurse & educator to serve the Spanish speaking people in Peru.



Bonnie Rivas- RN BSN, Labor and Delivery

Bonnie Rivas began working in Labor and Delivery as a CNA in 2006, graduated with an Associates in Nursing in 2008 and her Bachelor's in Nursing in 2010. She spent her career at Mountain View Hospital in Labor and Delivery for the past 10 years and now helps educate staff on Labor complications, care of the mom baby couplet and neonatal care at delivery. She also works Pre-op, PACU, and circulating nurse at a surgical ENT center in Rexburg Idaho. She served an LDS mission Spanish speaking and is a certified medical interpreter since 2007. She is the proud mother of four children and has traveled to El Salvador and Guatemala with her husband and children, they love adventures as a family. Bonnie is passionate about travel, service and Labor and Delivery. It has been a lifelong dream of hers to use her medical and language skills to serve others and is thrilled for the opportunity to work with ROL this year in Peru.



Michael J. Huntsman, M.B.A., Operations Director

Mike is the Executive Director for Reach Out And Learn. He received his Master of Business Administration degree from the University of Phoenix in January of 1993. His Bachelor of Science degree is from Brigham Young University. Mike was also a faculty member with the University of Phoenix for 10-years. He enjoys a variety of work, and spends a significant amount of time designing brochures, postcards, and Web sites. In his free time he enjoys gardening (especially grapes and walnut trees), beekeeping and bike riding.

Questions & Answers (FAQs)

Please check back as updates to this information are added periodically

What is included with my Registration Fees?

Includes conference fees (for conference registrants), airfare to and from Cusco from Lima, accommodations: one night in Lima, six nights in Cusco, and participants who select the optional tours, have an additional hotel night in Cusco, and a hotel night in the Sacred Valley/Aguas Calientes (double occupancy or greater). Optional-tour participants receive a tour of the Sacred Valley; train ride to Aguas Calientes, the return trip from Aguas Calientes to Cusco, and a place to put your luggage in Lima on the day of your return flight to the United States. The conference registration and optional tours does not include your flight from the United States to Lima and from Lima back to the United States, medical insurance, meals (although breakfast is usually provided by the hotel), or personal expenses.

How do I book and pay for a flight from the United States, to and from Lima, Peru?

1. Purchase a ticket through an online travel site (Orbitz, Delta, United,Expedia, Travelosity, Yahoo Travel, etc.), or...
2. Check specific airline Websites (American, Delta, United, LAN, Air Mexico, etc.) or...
3. Use your frequent flier miles/award points,
4. Call a travel agent at a travel service such as Christopherson Travel. Christopherson Business Travel: 866 327-7606 Toll free, 801 327-7668 Direct line

When should I purchase my USA to Lima airline ticket?

In recent years, we have found that prior to 4-months out has been the best option. We have shopped both Orbitz and the major airline (Delta, United, LAN Peru) Web sites. We have found that the prices change significantly (up and down) from day to day.

Should I purchase Travel Insurance?

We highly recommend that you purchase travel insurance. It is available from various providers, such as American Express https://www295.americanexpress.com/travel-insurance/home.do?aetiSource=G&&inav=PROT_TRAVAL-Trip_Cancel or Travel Guard http://www.travelguard.com/

What should I pack? The following list includes packing list suggestions: (It is not recommended that you bring everything on this list)

Additional tourist attire:

Waterproof sandals
Sunglasses
Nice comfortable attire such as slacks or skirt and dress shirt for sit-down dinner or possible worship services

Personal Medical Pouch (we recommend the following):

Insect repellent & itch-balm plus or other hydrocortisone-base cream
Sunscreen along with Chapstick or Blistex-type lip ointment
Small first aid kit with Band-Aids, ointment, tweezers, medications etc.
Pain reliever
Diarrhoea medication (Imodium/Pepto Bismo, etc.)
Constipation medication
Cold & allergy medication, throat lozenges or cough drops
Other personal prescriptions if applicable

Personal Toiletries:

Personal hygiene items—toothbrush, toothpaste, floss, towel, wash cloth, soap, deodorant, etc. (an antiseptic cleanser can be a skin saver)
Toilet paper (you may prefer several pocket pouches of Kleenex)
Antibacterial wet wipes--the equivalent of 80-100 wipes per person. Individual pouches can be very convenient.

Miscellaneous:

Personal snack supply: You will buy your own food/water in country, but if you are a "picky eater" or have favorites you can't live without…bring your snacks you prefer (trail mix, granola bars, dried fruit, etc.)
Headlamp or emergency flash light (to be used when the power goes out)
Box/Duct/Strapping tape to be used to repair luggage or to use in the villages.

Items to entertain or leave with those in the villages

Small "American" footballs, soccer balls (you can bring them deflated, then pump them up in the village (bring a small bike pump and a ball needle)
Long jump ropes (more than one person can jump at the same time)
Cultural sharing items i.e. a small musical instrument that you play, magic tricks, costume, etc.
Compact indoor games or projects i.e. cards or beads & yarn
Compact outdoor games (i.e. Wiffle ball, bubbles & blower)

What can I bring with me to have for village children?

We have found that it is best to allocate funds to purchase available items in Peru, rather than transport items in luggage.
World/Continent maps in Spanish (large enough to hang on a school wall, preferably laminated)

English/Spanish learning materials designed for younger children (4 to 9 years old) - these can be cards with pictures and the English/Spanish names on the back.

Blocks with letters to spell out what is on a picture in both English and Spanish. (If it is in a kit with the pictures and the correct spelling on the back in both English and Spanish and then small lettered blocks, preferably colorful used for the students to spell out the names.)

Art or craft materials that the students can use (preferably materials that are reusable).

They love bubbles, used tennis balls, finger paints. They also like their finger nails painted.

Colored pencils and crayons are always a hit. But don't bring paper because it can be purchased cheaply here in Cusco and it is heavy to bring in your luggage.

Magic tricks are also popular. Don't bring clothes or shoes for the school children.

Colorful hair bows and ribbons

What can I bring with me to donate to village adults?

Hygiene Kits (We will plan to present these to the village leaders/school master)

1 hair brush
4 toothbrushes
1 tube toothpaste (be sure to put this in your "checked" luggage and in a zip-lock bag)
1 bar of soap
1 dozen colored hair ties
2 wash cloths
Put these items in a one-gallon zip lock bag, then put the zip lock bag in a cloth bag with rope draw string.

Passport and Immigration Card

Keep your passport and immigration card in a convenient, yet secure, spot. When checking into hotels, onto planes and trains, into Machu Picchu, leaving the country, etc., you are required to show your passport. Your Immigration form will be required when you leave Peru for your return flight to the U.S. I scan my passport and email it as an attachment to myself or upload it to Google docs or other online place that I can access if necessary.

Missed flights, missed connections, delayed luggage, etc.

Reach Out And Learn is not responsible for missed flights, missed connections, standby flights, missing luggage, delayed luggage, your late arrival to Peru or Cusco, or airline change fees. We have learned that it is important to have at least two hours between flights in order to have time to make connecting flights. When making your flight reservations from the U.S. to Lima, you may choose to select an itinerary that has at least two hours between connecting flights. If your flight from the U.S. to Lima is postponed or delayed for any reason, we will anticipate that you will join our activities when you arrive in Cusco. We are also not responsible if you miss bus, train, or airline departures in Peru. We are not responsible for your wake up calls or to make sure you board buses, trains, or flights in time for their departures. However, we will make reasonable effort to make you aware of our itinerary and departure times so you can plan for and anticipate departures so you will be able to continue with the group. During your travel to Cusco, if for any reason you do not arrive in time for the group's flight from Lima to Cusco, please let us know by email and we will work with our in-country travel agent to adjust your schedule and possibly avoid flight-change fees.

What hotels are we planning to stay at?

Flights typically arrive in Lima just before midnight and flights from Lima to Cusco depart early the next morning.

In Lima, our hotel is the Vista del Sol, which, their website says, is 5 minutes from the Lima Jorge Chavez airport.

In Cusco, our hotel is the Royal Inca hotel.

In Quillabamba, we are planning to stay at the hotel Don Carlos.

Rooms will be arranged "double occupancy" or greater (at least two people to a room).

In order for us to reserve a room for you in Lima, you must register online (for the conference or village activities) at least 60 days before your arrival in Lima.

Where can I find traveller health/vaccination information?

Please visit the CDC Website http://wwwn.cdc.gov/travel/destinationPeru.aspx to find Traveller recommendations. For general questions, please contact the Reach Out & Learn Office. Email: info@reachoutandlearn.org

What village activities will I participate in?
We plan to travel to remote mountain villages high in the Andes to interact with school children with activities such as English lessons, coloring pictures, jewelry making, soccer, frisbee, bubble blowing, etc. We also plan to work on village, family, and personal histories. We also plan to conduct needs assessments to discover and propose better ways for villagers to heat their homes, cook their food, wash their clothes, eat nutritious meals, drink pure water, etc.

When can I give items to children and community members?

Reach Out And Learn has found that the best way for us to distribute items is to give them to professionals in our humanitarian conferences and have them give them to people in need in small villages. Local professionals typically know those who are most in need. We also plan to give items such as first-aid and hygiene kits to the community leaders, such as the school master or teacher.

Do I need to sign a Waiver, Release, & Indemnity?

All Reach Out & Learn Volunteers/Participants are required to agree to the terms of a participation waiver that will be emailed to you after you register for an event. To agree to the terms of the agreement, simply reply to the email message, which will send it to us at info@reachoutandlearn.org

Registration Cancellation Policy

Conference cancellation requests received 70 days before your arrival in Peru, will receive a full refund minus a $200 cancellation fee. Conference registration requests received after 70 days before your arrival in Peru, wll receive no refund. Please send cancellation requests to info@reachoutandlearn.org. You must receive a cancellation confirmation (e-mail) from us to confirm your cancellation.

Information About Travelling to and getting around in Peru

Lonely Planet Website or online search, Google, Bing, Yahoo, etc.

Reach Out And Learn Event Cancellation Policy

Please register as early as possible, as the Expedition Planning Committee may cancel the expedition if a minimum number of registrants is not reached.

Changes

Reach Out And Learn reserves the right to change information on this Web page as well as arrangements associated with our agenda or the conference or expedition agendas, as necessary.

Paying by Check?

If paying by check, please make checks payable to Reach Out And Learn and mail to 188 W. 2000 S. Bountiful, Utah 84010-5553.

Continuing Education Information

Each conference participant will receive a certificate of attendance/participation.